Contemporaneous, multi-physician, online consultation system

ABSTRACT

The computer-implemented system of providing online medical consultation services by a team of medical professionals begins when a user accesses the system website. The user selects the level of consultation services desired and a case submission form is provided to the user requesting information relating to desired medical consultation. The user provides the requested information on case submission form. If additional information is required, it is obtained. When the case is ready for submission, members of the medical professional team are selected for consultation on the case and forwarded the particulars of the submitted case via the Internet. The selected team members review the submitted case particulars and each member provides their medical opinion via Internet. The submitted opinions are recorded and displayed in real time on the system website, to which the user has access. In addition, the submitted opinions to structured questions are compiled to determine if there is a consensus. A graphical representation of the compiled opinions is generated and displayed in real time on the website, as well. This system can provide nearly instant information as to the sum of the opinions of medical experts for a variety of case scenarios and establishes whether, and to what extent, a consensus exists among the consulting medical professionals.

CROSS-REFERENCE TO RELATED APPLICATIONS

Not Applicable

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

Not Applicable

REFERENCE TO A “SEQUENCE LISTING”, A TABLE, OR A COMPUTER PROGRAMLISTING APPENDIX SUBMITTED ON COMPACT DISC

Not Applicable

BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates to a medical consultation system and moreparticularly to a contemporaneous, multi-physician, online consultationsystem in which a user can obtain easily understandable medical opinionsof many qualified, unbiased health care professionals and expertsthrough the Internet. This system can provide information as to the sumof the opinions of medical professions for a variety of case scenariosand establish whether, and to what extent, a consensus of such opinionsexists.

2. Description of Prior Art Including Information Disclosed Under 37 CFR1.97 and 1.98

In the information age, effective decision making can be easily impairedby an overabundance of data. Internet access provides nearly limitlessinformation on most subject matters. Ironically, these instantlyavailable facts and opinions can paralyze rather than enhance decisionmaking because capabilities to obtain information often overwhelmsystems to meaningfully characterize and analyze the informationreceived.

This dilemma is particularly true in health care fields where multiplesources of medical facts and opinions, often varying in strength andverifiability, inform medical decision making. This vast volume ofmedical data often presented in an unfamiliar format can lead to patientconfusion. This confusion is further complicated by competing claimsoften arising from the dissemination of medical information by partieswith proprietary interests in health care products or services.

The opinions of well intentioned qualified health care practitioners mayalso differ. Medical practitioners make recommendations based on theirpersonal experiences and data known to them. Because of the vastness ofmedical information, health care practitioners may weigh medicalinformation differently resulting in the rendering of patient medicalopinions which may, in some cases, conflict with one another. If medicalprofessionals can offer different medical advice for the same casescenario, it is not surprising that medically untrained patients can beeasily confused and frustrated by the amount and variability ofavailable medical information.

Ideally, patients should be able to review the best consensus opinionsfor all their health care concerns. Building a system to enable thisconsensus opinion generation would require access to qualified,unbiased, health care professionals who are familiar with and can applytheir collective experience to an individual case. This system wouldalso be able to rapidly evaluate data, be scaleable by numbers of healthcare providers or narrowness of expertise as cases require, and have anoutput that is produced contemporaneously, is easily understandable andreflects the weight of medical evidence when differences of opinionarise. In the perfect system, the health care providers would haveadequate incentive to respond rapidly to patient scenarios oncepresented yet derive no personal gain that could bias recommendationswhen patients follow the opinions rendered.

Currently, efforts to create consensus opinions in medical fields occurthrough expert committees. These committees may be brought together bygovernment entities or elements of organized medicine or medicalindustry. These committees are often charged with reviewing large bodiesof medical information and crafting consensus statements when possible.Though the work of these groups is quite valuable, inevitably it isslow, often non-specific and cannot address the nuances of medical carerelevant to individual patients.

Because of these limitations, an individual patient who seeks to obtaina consensus medical opinion on his or her specific health carecircumstances can not be sure if this goal is met. At best, he or shecould seek the advice of a physician and perhaps a second opinion or twoand trust that this advice is in line with consensus. He or she may alsodo personal research using a vast variety of medical sources.Unfortunately, except for the exceptionally educated patient perhaps,finding a consensus of opinion would be more guesswork than science.

The present invention relates to a system that provides forcontemporaneous multi-physician consultations and an output to allowpatients to easily understand the strength of consensus medical views.It uses information technology systems integrated with human resourcesto produce an output that quickly enables case by case generation ofconsensus opinions for health care matters or establishes that noconsensus exists. The system also compensates health care providers fortheir expertise without creating financial incentives that can biasdecision making. Based on our review of the medical literature and priorart, no system for providing contemporaneous, simultaneous multiplephysician consultations with a user friendly output exists.

It is, therefore, a prime object of the present invention to provide asystem providing contemporaneous, simultaneous multiple physicianconsultations with a user friendly output.

It is a further object of the present invention to provide a system forproviding contemporaneous, simultaneous multiple physician consultationsthrough the Internet.

It is a further object of the present invention to provide a system forproviding contemporaneous, simultaneous multiple physician consultationswherein the individual opinions of the consulting physicians arereported to the user in real time.

It is a further object of the present invention to provide a system forproviding contemporaneous, simultaneous multiple physician consultationswherein the sum of the opinions of the consulting physicians is reportedto the user in real time.

It is a further object of the present invention to provide a system forproviding contemporaneous, simultaneous multiple physician consultationswherein whether, and to what extent, a consensus of the opinions of theconsulting physicians is present is reported to the user through agraphical representation.

BRIEF SUMMARY OF THE INVENTION

The above objects are achieved by the present invention which relates toa computer-implemented system of providing online medical consultationservices by a team of medical professionals. The system is accessed by auser who connects to a website. The user selects the level ofconsultation services desired. The user is provided with a paymentdemand, based upon the level of services selected. The user submits thepayment information on a form provided. The submitted paymentinformation is verified.

A case submission form is then provided to the user requestinginformation relating to desired medical consultation. The user providesthe requested information on case submission form.

The submitted information on the case submission form is reviewed by amedical professional. A determination is made if additional informationis required to process a case. If so, the additional information isrequested from the suitable source. It is determined if the case isready for processing at that point.

When the case is ready for submission to a panel of medicalprofessionals, members of the professional team are selected forconsultation on the case. The system employs a software program toselect appropriate medical professionals from a database. Selectionsfrom the database can be sorted by various characteristics of themedical professionals such as age, medical specialty, gender orgeographical location. The selected professionals are forwarded theparticulars of the submitted case via the Internet and e-mail.Structured questions are submitted with the particulars of each case.The selected medical professionals review the submitted case particularsand each member provides their medical opinion via Internet.

The submitted opinions are recorded and answers to structured questionsare tallied. The opinions are also displayed in real time on the systemwebsite to which the user has access.

In addition, the submitted opinions are compiled to form a graphicalrepresentation of the compiled opinions. The graphical representation isdisplayed on the website to illustrate if, and to what extent, aconsensus of opinion exists among the polled professionals.

The step of reviewing information on the provided case submission formincludes parsing the information on the case submission form andcomparing same to defined criteria using a software program. The user isnotified if information is not acceptable. In that case, the user ispermitted to revise the unacceptable information. The revisedinformation is parsed and stored, if acceptable.

The system also includes a program that generates a message to the uservia the Internet including instructions for logging into a website usinga user name and password.

Further, assets consisting of text, graphics, animations, audio andvideo information relating to the case are stored. One or more of thestored assets are selected. The selected assets may be utilized tocreate the message to the user.

The step of verifying payment information includes notifying the user ifthe payment is not validated.

The system further allows a “view only” option that provides a user withaccess to cases stored in the website displaying the medical opinions. Auser can find various types of cases previously reviewed by medicalprofessionals using a system specific search engine, if the “view only”option is selected.

The level of services selected by user determines the extent the usercan access the website with displayed opinions. It also determines thecomplexity of the case that a user may submit for consultation.

The system also includes computer-implemented software to select andregister medical professions for participation. That is done by invitingpotential medical professionals to participate and providing eachpotential medical professional that agrees to participate with websitelogin information. When the professional successfully logs into thewebsite, a welcome message is sent. The professional is provided with acontract for signature, which is signed and returned. The information onthe signed contract is validated. Personal and/or professionalinformation is solicited from each medical professional with a validatedcontract. The information provided by the medical professional isfurther validated and stored. Approval of the medical professional as amember of team is then confirmed.

The system includes software that periodically checks the website fornew case submissions. The step of determining if additional informationis required to process the case and, if so, requesting same, includesforwarding information to a health care provider who reviews each newcase submitted. If the selected level of the submitted case requiresuser interaction, the user is contacted. The case is reviewed withcontacted user and additional information is obtained from contacteduser, if necessary.

The system further allows for one or more structured questions to begenerated relating to a submitted case. The system also compiles one ormore answers to the questions and stores the questions and answers.

The step of selecting members of the team for consultation on the caseincludes sending a survey to each selected member of the team; reviewingthe survey results; and posting the survey results in real time.

The step of selecting members of the team for consultation on the casealso includes reviewing previously stored information about members ofthe team; and selecting members for consultation on the submitted casebased upon the reviewed information.

The step of selecting members of the team for consultation includesretrieving a list of approved medical professionals; selecting a medicalprofessional from the list; reviewing previously stored informationabout the medical professional selected from the list and comparing samewith defined criteria.

The step of advising selected team members of the particulars of thecase via the Internet includes contacting a selected team member tonotify him or her that there is a case for consultation; providing thecontacted member with a link to the website; displaying the caseparticulars on the website; and providing a survey to the member forrecording his or her opinion.

The system also determines if the survey was already answered by thecontacted member and determines if the survey quota has already beenmet.

The system also allows a selected health care professional to opt out ofparticipation in the consultation and makes note of this decision.

The step of displaying the case particulars includes displaying detailedinformation about the case on the website. It also includes displayingimages relating to the case on the website.

The system also includes a provision for the user to log onto a website,select a case, view the details of case, view case questions, view thedisplayed opinions from team members and view displayed case commentsfrom the team members.

The step of having the selected health care professionals review thecase and submit an opinion includes providing the team member with asurvey to report his or her opinion regarding submitted case anddisplaying the survey results on a website. The survey results aredisplayed on the website in real time.

The step of generating a graphical representation of the survey resultsincludes displaying same on the website in real time.

BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF DRAWINGS

To these and to such other objects that may hereinafter appears, thepresent invention relates to a contemporaneous, multi-physician, onlineconsultation system as described in detail in the followingspecification and recited in the annexed claims, taken together with theaccompanying drawings, in which:

FIG. 1 is a system flowchart overview and describes the components andfunctionality of the consumer access/case submission system;

FIG. 1A describes the components and functionality of the DynamicallyGenerated Email system;

FIG. 2 is a detailed flowchart and shows the steps from when theconsumer connects to the website until they are presented with theappropriate data and access;

FIG. 3 is a detailed flowchart and shows what the doctors/medicalprofessionals see (on any Web accessible device) as they go through theSignup process;

FIG. 4 is a detailed flowchart and shows what the Case Approval processis after the consumers have submitted a case;

FIG. 5 is a detailed flowchart and shows what the Doctor/Medialprofessional approval process is after doctors/medical professionalshave completed the Signup process;

FIG. 6 is a detailed flowchart and shows the process in which adoctor/medical professional sees (on any Web accessible device) and goesthrough to submit answers to the surveys emailed to them; and

FIG. 7 is a detailed flowchart and is a continuation of the loginprocess from FIG. 2.

DETAILED DESCRIPTION OF THE INVENTION

The different figures presented illustrate the steps involved inimplementing the system of the present invention. However, it should beunderstood that the figures show only one preferred embodiment of theinvention for purposes of illustration and that numerous modificationscould be made thereto without deviating from the general concept of thepresent invention.

FIG. 1 is a system flowchart overview and describes the components andfunctionality of the consumer access/case submission system. The blocknumbers in FIG. 1 match the Block numbers below.

Block 1-1—Type of Access. The user of the system indicates which type ofaccess and/or medical case to submit. The different types ofaccess/submissions include, for example, a temporary pass which can bedefined in hours, days, etc, a full pass which allows access for setperiod of time (ie. a number of months or years), and submission of amedical case at different levels of complexity. The selected type ofaccess will determine what type of form and amount of payment isrequired and sent to the display screen of the computer of the user.Once the type of access is selected, the user is sent to the OnlineElectronic Form.

Block 1-2—OnLine Electronic Form. The user fills out the online formfrom a User Station (ie: PC, WebTV, Handheld or any other web capabledevice). This form will gather input from the user that will bevalidated at submission.

Once the form is completed, the user submits the form electronically tothe systems server by clicking on a submit button that is on the displayscreen of the user. Transmission can be done through either wire orwireless communications.

Block 1-3—Form Validation. The submitted form data are then parsedthrough via software code against defined criteria. The form data mustmeet minimum defined criteria to be accepted for processing. If asection of the form data is not acceptable, the user is notified with ascreen on their display. The user is allowed to correct the unacceptabledata. Once corrected, or if all data are considered acceptable, the formdata are submitted for data processing.

Block 1-4—Payment Processing. The form data that were submitted areadded to a database. A list of payment options, such as PayPal, Visa,Mastercard, etc (any type of payment whether electronic or mailed in)will be sent to the user display. Once the user has selected the type ofpayment, and submits the required amount of payment, the user isredirected to a results display that validates the payment.

Block 1-5—Validate Payment. If payment was unsuccessful for any reason,the user is directed to a failure of confirmation page which is sent totheir display.

Block 1-6—Payment Failure. If the processing of payment was rejected,declined or unsuccessful for any reason in Block 1-5, the user isdisplayed with a payment failed screen and, if available, the reason ofthe failure will be displayed. The user may resubmit for processing bystarting at Block 1-1.

Block 1-7—Payment Success. Upon successful payment, the user will beredirected to an electronic form which will request certain informationdepending on which type of access/case the user has selected. The typesof forms are explained in Block 1-8 and Block 1-10 below.

Block 1-8—View Only Access Form. This is an electronic form that allowsthe consumer to create a Username and Password that they will use toaccess the Secure Login Area.

Block 1-9—Form Validation. The submitted form data are parsed throughvia software code against defined criteria. The form data must meetminimum defined criteria to be accepted for processing. If a section ofthe form data is not acceptable, the user is notified with a screen ontheir display and allowed to correct the unacceptable data. Oncecorrected, or if all data are considered acceptable, the form data aresubmitted for data processing.

Block 1-10—Case Submission Form. This form is used to gather input fromthe file up to the system server. The form also allows the user tocreate a Username and Password that they will use to access the SecureLogin Area.

Block 1-11—Form Validation. The submitted form data are then parsedthrough via software code against defined criteria. The form data mustmeet minimum defined criteria to be accepted for processing. If asection of the form data is not acceptable, the user is notified with ascreen on their display and allowed to correct the unacceptable data.Once corrected, or if all data are considered acceptable, the form dataare submitted for data processing.

Block 1-12—Dynamically Generated Email. The submitted form data fromBlock 1-9 and Block 1-11 are then added to the database. From the datagathered in the database, an email is dynamically generated anddelivered in real-time by electronic means to the user's supplied emailaddress through wire or wireless communications. The email contains awelcome message, instructions for logging into the system along with theUsername and Password that the user created in Block 1-8 and Block 1-10.

All of the assets of the dynamically generated emails are stored on thesecured server (computer where the website exists) that are used in thesystem described in FIG. 1A. These assets can consist of text, graphics,animations, audio and video information. These dynamically generatedemails can comprise some combination of these assets. All assets usedfor the dynamically generated emails can be changed based upon submitteduser data, as well as company needs. There is no limit to the number andtype of dynamically generated emails that can be created and delivered.

FIG. 1A illustrates the components and functionality of the DynamicallyGenerated Email system.

Block 1A-1. Email addresses that were gathered and stored in thedatabase from FIG. 1 Block 1-2 are retrieved.

Block 1A-2. Username and Passwords that were gathered and stored in thedatabase from FIG. 1 Blocks 1-8 and 1-10 are retrieved.

Block 1A-3. All information from Blocks 1-1 and 1-2 are assembled intoan email message to be sent to the consumer.

Block 1A-4. The dynamically generated email is emailed to the consumer'semail address. Information in the message may include but is not limitedto: a welcome message, login information, privacy information,combination of assets, etc.

Block 1A-5. The user receives the email.

FIG. 2 is a detailed flowchart and shows the steps from when the userconnects to the website until they are presented with the appropriatedata and access.

Block 2-1. User connects to the website from a web accessible device andnavigates to the page that allows the user to enter in their usernameand password.

Block 2-2. User utilizes the username and password that they createdwhen they filled out the electronic form from FIG. 1 Block 1-2 and wasemailed to the consumer.

Block 2-3. The provided username and password is then used to search thedatabase of existing data to verify that the username and passwordpresented is correct. If there is no match in the database to theusername and password provided then the user is redirected to a LoginFailure page, Block 2-4, or if a successful match was found, the user isredirected to a page that is dynamically generated based on level ofaccess, Block 2-5.

Block 2-4. If the user provided username and password is incorrect, theywill be redirected to this failure page informing them that either theusername or password was incorrect. It also allows them to click on alink/button that redirects them back to the logon page, Block 2-2, sothat they can repeat the login process.

Block 2-5. If the user provided username and password is correct, theywill be redirected to a web page that is dynamically generated showingor hiding sections of the website based on the level of access the userchose during the access/case submission process, FIG. 1 Block 1-1

FIG. 3 is a detailed flowchart and shows what the doctors/medicalprofessionals see (on any Web accessible device) as they go through theSignup process. It is important to note that this is not the only methodfor signing up doctors/medical professionals and adding them to ourdatabase for future use and processing. They can be signed up and addedby phone, email, fax or any other means of communication or added to thedatabase via webpage, programming code, or other means of databasecommunications.

Block 3-1. The team of professionals approaches doctors/medicalprofessionals inviting them to participate in part of our system ofanswering surveys.

Block 3-2. If the doctors/medical professionals from Block 3-1 agreed toparticipate, they receive a username and password along with a websiteaddress for the signup process to continue. The username, password, andwebsite address can be given over the phone, email, pager or any othermeans of communications.

Block 3-3. Once the doctors/medical professionals obtain the usernameand password, they connect via any web capable device connecting to theprovided web site address.

Block 3-4. The doctors/medical professionals input the username andpassword and click a submit button on an electronic form.

Block 3-5. The submitted username and password is then used to searchthe database of existing data to verify that the username and passwordpresented is correct. If there is no match in the database to theusername and password submitted, the doctor/medical professional isredirected to a Login Failure page, Block 3-6, or if a successful matchwas found, the doctor/medical professional is redirected to a welcomepage, Block 3-7.

Block 3-6. If the submitted username and password was incorrect, a LoginFailure page will be displayed notifying them that the username andpassword was incorrect. They will also be presented with a link back tothe electronic login page, Block 3-4.

Block 3-7. If the submitted username and password was correct, a Welcomepage will be displayed notifying them the login was successful. This maycontain assets including but not limited to text, animations, audio,video, etc. Once the doctors/medical professionals have finished withthe welcome page they will have a link allowing them to continue withthe signup process taking them to the Contract Agreement/Terms andConditions page, Block 3-8.

Block 3-8. In order for each doctor or medical professional toparticipate in the survey system they must have read and signed acontract agreement agreeing to the terms and conditions of the system.This can be accepted in either paper or electronic form. In order tocontinue, they must select the electronic form that they have read andagree to the contract. The provided link will allow them to submit theagreement for validation.

Block 3-9. The submitted form data are then parsed through via softwarecode against defined criteria. The form data must meet minimum definedcriteria to be accepted for processing. If a section of the form data isnot acceptable, the doctor/medical professional is notified with ascreen on their display and allowed to correct the unacceptable data.Once corrected, or if all data are considered acceptable, the form dataare submitted for data processing.

Block 3-10. This form will gather input from the doctors/medicalprofessionals that will be validated at submission. The informationgathered may include but not limited to personal, geographical andprofessional information.

Block 3-11. The submitted form data are then parsed through via softwarecode against defined criteria. The form data must meet minimum definedcriteria to be accepted for processing. If a section of the form data isnot acceptable, the doctor/medical professional is notified with ascreen on their display and allowed to correct the unacceptable data.Once corrected, or if all data are considered acceptable, the form dataare submitted for data processing.

Block 3-12. After successful submission of form data the doctors/medicalprofessionals are then redirected to a successful page. The datasubmitted are also added to the database.

Block 3-13. Once the data have been added to the database, an email isgenerated and sent to doctor/medical professional with confirmationcompleting the signup process.

FIG. 4 is a detailed flowchart and shows what the Case Approval processis after the users have submitted a case.

Block 4-1. A team of company professionals connect to the website andcheck for newly submitted case.

Block 4-2. The team then reviews all newly submitted cases. They takeeach case and make sure that it is properly formatted; text andsubmitted photos are cleaned for public viewing, etc. Depending on thelevel of case submitted, it may require interaction with the consumerwho submitted the case, Block 4-3, or the case may be reviewed and senton to the next step without consumer interaction, Block 4-6.

Block 4-3. If the level of submitted case requires consumer interaction,someone from the team will contact the user via email, phone, cell, orany other means of communication.

Block 4-4. The team member will review the submitted case with user andgather additional information about the submitted case to betterconstruct a presentable case.

Block 4-5. If necessary, the team will request medical records that willassist them in creating the survey questions. These records can betransmitted by fax, mail, electronic or any other means of transmission.

Block 4-6. Once the cases have been reviewed and all necessaryinformation and documents have been gathered, the team will then beginthe “Critical” Question Generation process. During this process, theteam will generate a survey question or multiple survey questions. Thenumber of questions will vary from case to case. Along with eachquestion, the team will generate answers and the number of answers willvary question to question. All questions and answers are added to thedatabase.

Block 4-7. When all the questions and answers have been generated, thecase details have been reviewed and the photos have been reviewed, thecase has one final review and then is ready for the selection process.

Part of the approval process is the selection of doctors/medicalprofessionals to receive the case. The selection of doctors/medicalprofessionals and selection criteria may vary from case to case. Theapproval selection can send the survey to all doctors/medicalprofessionals or to a selected list based on criteria such as but nolimited to geographical location, profession specialties, age, gender,and various other collected information that is stored in the database.After the selection process the case is approved.

Block 4-8. The selection of criteria is processed and added to thedatabase and prepares the data from the approval page and retrieveddatabase data for email processing.

Block 4-9. An email is generated for each of the selecteddoctors/medical professionals and delivered by email. The email containsinformation identifying the email with the survey system, a website linkback to the actual survey, policy information, and other asset relatedmaterial such as, but not limited to text, images, animations, audio andvideo.

FIG. 5 is a detailed flowchart and shows what the Doctor/Medialprofessional approval process is after doctors/medical professionalshave completed the Signup process.

Block 5-1. The team members connect to a website that manages the datain the database. The data in the database can also be managed usingother methods that can connect to and make changes to the database.

Block 5-2. The team members then click on Manage Doctors/MedicalProfessionals.

Block 5-3. This will retrieve and display a list of doctors/medicalprofessional from the database. The team members locate and select thedoctor/medical professional in question.

Block 5-4. The doctor/medical professional data are displayed and caninclude but are not limited to personal data, professional data,approval status, etc. In order for our select panel of doctors/medicalprofessionals to receive the emails that allow them access to thecases/surveys they have to have an approval status.

Block 5-5. The team members then review and cross-check informationabout the doctor/medical professional to verify credentials. Once theverification is complete, the status of the doctors/medicalprofessionals is changed to Approved. After the status or any otherchanges have been made, the team member submits the data for validation.

Block 5-6. The data in the submitted form are parsed through viasoftware code against defined criteria. The form data must meet minimumdefined criteria to be accepted for processing. If a section of the formdata is not acceptable, the team member is notified with a screen ontheir display and allowed to correct the unacceptable data. Oncecorrected or if all data are considered acceptable, the form data aresubmitted for data processing.

Block 5-7. If the submitted changes failed to update the database, afailure status page is displayed.

Block 5-8. If the submitted changes were successfully updated in thedatabase, a successful page is displayed.

FIG. 6 is a detailed flowchart and shows the process which adoctor/medical professional sees (on any Web accessible device) and goesthrough to submit answers to the surveys emailed to them.

Block 6-1. The selected doctors/medical professionals check and receivethe system email(s).

Block 6-2. The doctors/medical professionals review the email receivedfrom the system (on any web accessible device)

Block 6-3. They click on the link provided in the email or they may beable to type in the website address if needed in any web capablebrowser.

Block 6-4. The clicked email, Block 6-3, will open up a web capablebrowser that is loaded on their computer system and connects to thedestination website.

Block 6-5. Once the web browser connects, the web site page andprogramming code does an email link validation to ensure the personconnecting to the site is allowed to proceed. If the email link was notproperly formatted or if the website address was typed in incorrectly,the doctors/medical professional is redirected to a validation failureon their display, Block 6-6.

If the link or typed in information was properly formatted, thevalidation process checks the database to see if the doctor/medicalprofessional has already answered and if so they are redirected to adisplay notifying them that they have already answered this case/survey,Block 6-8, otherwise if they have not answered the case/survey then theyare presented with the case details/survey on their display, Block 6-7.

The validation process also checks to see if the maximum number ofanswers has been met for that particular case/survey. If the surveyquota have been meet, the doctors/medical professionals are thenredirected to a display notifying them that the case/survey quota havebeen met, Block 6-9, otherwise if the survey quota for this particularcase/survey have not been met, they are presented with the casedetails/survey on their display, Block 6-7.

Block 6-6. If the link was incorrectly formatted or manually typedincorrectly in the web browser, a validation failed will be displayedalong with contact and next step information.

Block 6-7. After all validation, Block 6-5, has been completed and allconditions have passed successfully, the actual case details/survey ispresented to their display.

Block 6-8. If the validation, Block 6-5, has determined that thedoctor/medical professional has already answered the particular survey,a page will be displayed notifying them that they had already answeredthis survey and any other information that we may want to present.

Block 6-9. If the validation, Block 6-5, has determined that thecase/survey quota have been met and is not accepting any more surveyanswers, a page will be displayed notifying them that the survey quotahave been met and any other information that we may want to present.

Block 6-10. From Block 6-7, the doctors/medical professionals are nowpresented with the actual case details that have been retrieved from thedatabase.

Block 6-11. This section shows any photos or images associated with thecase details and display them on the doctors/medical professional'sscreen.

Block 6-12. This section shows the survey questions/answers that weregenerated, FIG. 4 Block 4-6, in the Case Approval process along withother form elements like a comments field.

The doctors/medical professionals are presented with two options. One isto “Opt Out” of the survey, Block 6-13. The other option is to answerthe survey and submit their answers for validation, Block 6-15.

Block 6-13. If the doctor/medical profession has chosen to “Opt Out” ofthe survey, it is recorded into the database and does not count towardthe survey quota. This also restricts the doctor/medical professionalfrom coming back and answering, Block 6-8.

Block 6-14. After the doctor/medical professional “Opt Out” status hasbeen recorded into the database, they are redirected and displayed a“Thank You” page.

Block 6-15. If the doctor/medical professional decided to answer thesurvey, the submitted answers from Block 6-12 are parsed through viasoftware code against defined criteria. The form data must meet minimumdefined criteria to be accepted for processing. If a section of the formdata is not acceptable, the doctor/medical professional is notified witha screen on their display and allowed to correct the unacceptable data.Once corrected or if all data are considered acceptable, the form datais submitted for data processing.

Block 6-16. Once the submitted survey data has been validated it is thenrecorded into our database and the doctors/medical professionals areredirected to a display notifying them that their data have beensubmitted and a “Thank You”.

FIG. 7 is a detailed flowchart and is a continuation of the loginprocess from FIG. 2.

Block 7-1. After the customer submits their username and password, FIG.2 Block 2-2 and the validations are successful, the customer ispresented a dynamically generated page that is customized to their typeof access.

Block 7-2. If a customer has submitted a case, their cases will bedisplayed. The customer then clicks on the particular case link theywant to view to review case details.

Block 7-3. The case details are displayed with links to other areas ofthe case, such as but not limited to, case photos, questions, results,etc.

Block 7-4. If a photo was submitted during the sign up process, FIG. 1Block 1-10, then the clicking on the Images link will display anyassociated photos.

Block 7-5. The questions that were generated in FIG. 4 Block 4-6 will bedisplayed when they click on the Questions link.

Block 7-6. The Results page shows the answers in real time as thedoctors/medical professionals answer the surveys. The questions andanswers are listed along with a graphical representation of the resultsillustrating the consensus of the opinions recorded on the surveys. Thelayout or presentation of results is designed to be user friendly suchthat the user can readily ascertain the individual opinions of theconsulting professionals as well as the consensus of the opinions.

Block 7-7. As doctors/medical professionals complete surveys, FIG. 6Block 5-12, they can submit comments about the case. These comments aredisplayed in real time when the customer clicks on the Comments link.

It will now be appreciated that the present invention relates to acomputer implemented system of providing online medical consultationservices by a team of medical professionals. The method begins when auser accesses the system website. The user selects the level ofconsultation services desired. The user is provided with a paymentdemand, based upon the level of services selected. The user submits thepayment information on a form provided. The submitted paymentinformation is verified. A case submission form is then provided to theuser requesting information relating to desired medical consultation.The user provides the requested information on case submission form.

The submitted information on the case submission form is reviewed. Adetermination is made if additional information is required to processcase. If so, the additional information is requested from the suitablesource. When the case is ready for submission, members of the medicalprofessional team are selected for consultation on the case. Theselected members are forwarded the particulars of the submitted case viathe Internet and e-mail. The selected team members review the submittedcase particulars and each member provides their medical opinion viaInternet.

The submitted opinions to “Critical Questions” for each case arerecorded and displayed in real time on the system website to which theuser has access. In addition, any submitted comments are compiled. Agraphical representation of answers to structured questions and compiledopinions is generated and displayed in real time on the website. Userscan quickly view the graphical display and understand whether or not acase has generated a consensus opinion among the responding medicalprofessionals and understand the strength of the consensus, when sameexists.

The system of the present invention has a variety of possibleapplications beyond simply providing the opinions of medicalprofessionals to a patient in order to assist the patient in making adecision as to medical care. For example, the results of the medicalopinions, and the strength of the consensus thereof, could be used bypotential litigants or their attorneys in deciding whether or not toproceed with a medical malpractice lawsuit based on deviations from astandard of care consensus, to determine what the strength of a lawsuitbased on consensus opinions would likely be and whether (or the amountof) a settlement should be considered. It could also be used inarbitration of medical disputes where an award could be based upon theopinions of a number of doctors (an unbiased source) indicating whethera particular course of therapy was within the accepted norm.

The system could be used in public relations or media, for example,where a quick and accurate poll of physicians is needed. This is an areawhere the number of physicians consulted could be increased to includeany number of the database physicians to provide an instant or real timesurvey or consensus assessment of newsworthy medical items/stories, oran instant or real time assessment of government health policies, forexample.

The system also has commercial applications. It could be use to providean instant or real time consensus relating to a new drug or device,instant or real time health care provider focus groups on medicalissues, or instant or real time competitive health assessments, forexample, information as to whether the availability of a particular newdrug would completely replace need for a pre-existing drug or whether ageneric form of a particular drug would make proprietary versions ofthat drug unnecessary.

The system could be used in formulating health policy. It could be usedto measure the acceptance level of a particular policy where the surveyquestions are designed to elicit physician opinion on upcoming policy,or measure the acceptance level of a certain public health official todetermine whether such an individual might be elected to a position,such as the amount of political support for proposed or current FDACommissioner, for example.

It has applicability in personal physician practices to demonstrate thatphysicians give advice differently when advising a family member ascompared to recommendations for a typical patient. For newertechnologies that appear promising but are unproven, the system of thepresent invention could be used to determine whether a consensus ofphysicians would use the new technology to treat their own families as agood way for the public to understand when doctors are practicingdefensive medicine as opposed to following their true beliefs. Further,the surveys provided by the system could be used to elicit instant/realtime physician health behaviors, for example, How much do they exercise?Do they take certain vitamins? etc.

The system of the present invention could be used with health careproviders other than doctors. The team of medical professions couldconsist of or include nurses, chiropractors, pharmacists, etc., as wellas or instead of physicians.

While only a single preferred embodiment of the present invention hasbeen disclosed for purposes of illustration, it is obvious that manymodifications and variations could be made thereto. It is intended tocover all of those modifications and variations which fall within thescope of the present invention, as defined by the following claims.

We claim:
 1. A method of providing a consultation of medicalprofessionals utilizing a computer-implemented system connected to theinternet, integrated with human resources provided by professionalsaffiliated with the system, to form a consensus of opinions by a panelof medical professionals selected by the system but not provided withfinancial incentives which could bias their decision making, the methodcomprising the steps of: (a) creating a database of potentialparticipating medical professionals, along with information about eachthe potential participating medical professionals, including thequalifications of the potential participating medical professionals; (b)user seeking a medical consultation accesses the system; (c) usersubmits information to the system regarding the desired medicalconsultation; (d) at least one professional affiliated with the systemreviews information submitted by the user and structures one or morequestions, based upon the user submitted information, for considerationby a panel of potential participating medical professionals selectedfrom the database; (e) medical professionals qualified to provideresponse(s) to the structured question(s) are selected by the system toform a panel to provide responses to the structured question(s) basedupon information in the database; (f) the structured question(s) areprovided electronically to the medical professionals in the selectedpanel; (g) the medical professionals in the selected panel review thestructured question(s) and provide responses thereto; (h) responses fromthe medical professionals in the selected panel are forwardedelectronically to the system; and (i) system compiles responses,calculates the degree of consensus of the responses, and displays thecalculated degree of consensus on a system website accessible to theuser.
 2. The method of claim 1 further comprising the step of at leastone professional affiliated with the system administrator gathersadditional information in order to structure question(s).
 3. The methodof claim 1 further comprising the step of at least one professionalaffiliated with the system administrator interacts with user to gatheradditional information about the desired consultation of medicalprofessionals.
 4. The method of claim 1 wherein user seeking aconsultation of medical professionals accesses the system via theinternet.
 5. The method of claim 1 wherein user seeking a consultationof medical professionals submits information regarding the desiredconsultation of medical professionals to the system via the internet. 6.The method of claim 5 wherein a case submission form is provided to userseeking a consultation of medical professionals and user submitsinformation regarding the desired consultation of medical professionalsto the system using the case submission form.
 7. The method of claim 6wherein user submits information regarding the desired consultation ofmedical professionals to the system over the internet using the casesubmission form.
 8. The method of claim 1 further comprising the step ofat least one professional affiliated with the system administratordetermines when case is ready for submission to selected panel ofparticipating medical professionals.
 9. The method of claim 1 furthercomprising the step of providing the user submitted information to thepanel of selected medical professionals.
 10. The method of claim 1further comprising the step of providing the user submitted informationto the panel of selected medical professionals via the internet.
 11. Themethod of claim 1 further comprising the step of selecting a panel ofmedical professionals for participation in the medical consultation fromthe database based on the qualifications of the medical professionals inthe database.
 12. The method of claim 1 wherein the database includesinformation about the potential participating medical professionals inaddition to the qualifications of the medical professionals, furthercomprising the step of selecting a panel of medical professionals forparticipation in the medical consultation based upon information in thedatabase about the medical professionals in addition to thequalifications of the medical professionals.
 13. The method of claim 1further comprising the step of system uses software to select panel ofmedical professionals for participation in the medical consultationbased upon the nature of the consultation and stored information in thedatabase.
 14. The method of claim 1 further comprising the step ofparsing the user submitted information against defined criteria using asoftware program to determine if user submitted information meets theminimum defined criteria.
 15. The method of claim 1 further comprisingthe step of displaying consensus information in real time as responsesfrom medical professionals in the selected panel are received by thesystem.
 16. The method of claim 1 further comprising the step ofcreating a graphical display of the consensus of the responses of themedical professionals and displaying same in real time.
 17. The methodof claim 1 wherein medical professionals in the selected panel respondusing surveys submitted to the system via the internet.
 18. The methodof claim 1 further comprising the step of professionals affiliated withthe system periodically check for new user submissions.
 19. The methodof claim 1 further comprising the step of utilizing the responses fromthe medical professionals in the selected panel to determine anacceptable standard of health care.
 20. The method of claim 1 furthercomprising the step of utilizing the responses from the medicalprofessionals in the selected panel to determine an acceptable standardof health care to determine the strength of a medical malpractice claim.21. The method of claim 1 further comprising the step of utilizing theresponses from the medical professionals in the selected panel todetermine an assessment of newsworthy medical information.
 22. Themethod of claim 1 further comprising the step of utilizing the responsesfrom the medical professionals in the selected panel to determine anassessment of government health policies.
 23. The method of claim 1further comprising the step of utilizing the responses from the medicalprofessionals in the selected panel to determine a consensus as to theacceptability of a new drug or medical device.
 24. The method of claim 1further comprising the step of utilizing the responses from the medicalprofessionals in the selected panel to determine an assessment ofcompetitive drugs.
 25. The method of claim 1 further comprising the stepof utilizing the responses from the medical professionals in theselected panel to determine an assessment of public health officials.26. The method of claim 1 further comprising the step of utilizing theresponses from the medical professionals in the selected panel todetermine an assessment of personal physician practices.
 27. The methodof claim 1 further comprising the step of selecting the panel of medicalprofessionals from a group of physicians, nurses, chiropractors and/orpharmacists.
 28. An online method of providing online medicalconsultation services utilizing a computer-implemented system connectedto the internet to obtain quantitative and qualitative medical opinionsfrom a panel of selected medical professionals, the method comprisingthe steps of: (a) creating a database of potential participating medicalprofessionals, along with information about each potential participatingmedical professional, including the qualifications of the potentialparticipating medical professional; (b) user seeking a medicalconsultation accesses the system; (c) user submits information regardingthe desired medical consultation; (d) system selects a panel of medicalprofessionals qualified to provide desired medical consultation basedupon information in the database; (e) question(s) based on usersubmitted information and user submitted information are provided to themedical professionals in the selected panel; (f) medical professionalsin the selected panel formulate response(s) to provided question(s) andcomments regarding user submitted information; (g) responses andcomments from the medical professionals in the selected panel areforwarded to the system; and (h) system calculates the degree ofconsensus of responses to questions, and displays same, along commentsfrom the medical professionals, on a system website accessible to theuser.
 29. The method of claim 28 wherein user seeking a medicalconsultation accesses the system via the internet.
 30. The method ofclaim 28 wherein user seeking a medical consultation submits informationregarding the desired medical consultation to system via the internet.31. The method of claim 28 wherein a case submission form is provided touser seeking a medical consultation and user submits informationregarding the desired medical consultation to system using the casesubmission form.
 32. The method of claim 31 wherein user submitsinformation regarding the desired medical consultation to system overthe internet using the case submission form.
 33. The method of claim 28further comprising the step of determining when case is ready forsubmission to selected panel of medical professionals.
 34. The method ofclaim 28 further comprising the step of selecting a panel of medicalprofessionals for participation in the medical consultation from thedatabase based on the qualifications of the medical professionals. 35.The method of claim 28 wherein the database including information aboutthe potential participating medical professionals in addition to thequalifications of the medical professionals, further comprising the stepof selecting a panel of medical professionals for participation in themedical consultation based upon information in the database about themedical professionals in addition to the qualifications of the medicalprofessionals.
 36. The method of claim 28 further comprising the step ofsystem uses software to select panel of medical professionals forparticipation in the medical consultation based upon the nature of themedical consultation and information about the medical professionals inthe database.
 37. The method of claim 28 further comprising the steps ofcreating defined criteria and parsing the user submitted informationagainst the defined criteria using a software program to determine ifuser submitted information meets minimum defined criteria.
 38. Themethod of claim 28 further comprising the step of displaying consensusinformation in real time as responses from medical professionals in theselected panel are received by the system.
 39. The method of claim 28wherein medical professionals in the selected panel respond to thesystem using surveys submitted to the system via the internet.
 40. Themethod of claim 28 further comprising the step of creating a graphicaldisplay of the consensus of the responses from the medical professionalsin the selected panel and displaying same in real time.
 41. The methodof claim 28 further comprising the step of at least one professionalaffiliated with the system periodically checks for new user submissions.42. The method of claim 28 further comprising the step of utilizing theresponses from the medical professionals in the selected panel todetermine an acceptable standard of health care.
 43. The method of claim28 further comprising the step of utilizing the responses from themedical professionals in the selected panel to determine an acceptablestandard of health care to determine the strength of a medicalmalpractice claim.
 44. The method of claim 28 further comprising thestep of utilizing the responses from the medical professionals in theselected panel to determine an assessment of newsworthy medicalinformation.
 45. The method of claim 28 further comprising the step ofutilizing the responses from the medical professionals in the selectedpanel to determine an assessment of government health policies.
 46. Themethod of claim 28 further comprising the step of utilizing theresponses from the medical professionals in the selected panel todetermine a consensus as to the acceptability of a new drug or medicaldevice.
 47. The method of claim 28 further comprising the step ofutilizing the responses from the medical professionals in the selectedpanel to determine an assessment of competitive drugs.
 48. The method ofclaim 28 further comprising the step of utilizing the responses from themedical professionals in the selected panel to determine an assessmentof public health officials.
 49. The method of claim 28 furthercomprising the step of utilizing the responses from the medicalprofessionals in the selected panel to determine an assessment ofpersonal physician practices.
 50. The method of claim 28 furthercomprising the step of selecting the panel of medical professionals froma group of physicians, nurses, chiropractors and/or pharmacists.
 51. Acomputer-implemented system for providing medical consultation servicesconnected to the internet, integrated with human resources provided byprofessionals affiliated with the system, to form a consensus ofopinions by a panel of medical professionals selected by the system butnot provided with financial incentives which could bias their decisionmaking, the system comprising: (a) means for creating a database ofpotential participating medical professionals, along with informationabout each the potential participating medical professionals, includingthe qualifications of the potential participating medical professionals;(b) means for user seeking medical consultation services to accesses thesystem; (c) means for user to electronically submit information to thesystem regarding the desired medical consultation services such that atleast one professional affiliated with the system can review theinformation submitted by the user and structure one or more questions,based upon the user submitted information, for consideration by a panelof selected medical professionals; (d) means for selecting a panel ofmedical professionals qualified to provide response(s) to the structuredquestion(s) based upon information in the database; (e) means forproviding the structured question(s) to the medical professionals in theselected panel such that medical professionals in the selected panel canreview the structured question(s) and create responses thereto; (f)means for electronically forwarding the responses from the medicalprofessionals in the selected panel to the system; (g) means forcompiling the responses forwarded to the system by the medicalprofessionals in the selected panel; (h) means for calculating thedegree of consensus of the responses; and (i) means for displaying thecalculated consensus on a system website accessible to the user.
 52. Thesystem of claim 51 further comprising means for professional(s)affiliated with the system to gather additional information in order tostructure question(s).
 53. The system of claim 51 further comprisingmeans for professional(s) affiliated with the system to interact withuser to gather additional information about the desired medicalconsultation.
 54. The system of claim 51 wherein said means for userseeking medical consultation services to accesses the system comprisesthe internet.
 55. The system of claim 51 wherein said means for userseeking medical consultation services to submit information regardingthe desired medical consultation to the system comprises the internet.56. The system of claim 51 further comprising a case submission form andmeans for providing said case submission form to user seeking medicalconsultation services.
 57. The system of claim 56 further comprisingmeans for user to submit said case submission form to the system. 58.The system of claim 57 wherein means for user to submit said casesubmission form to the system comprises the internet.
 59. The system ofclaim 51 wherein profession(s) affiliated with the system determine whencase is ready for submission to selected panel of medical professionals.60. The system of claim 51 further comprising means for submitting theuser submitted information to the panel of selected medicalprofessionals.
 61. The system of claim 60 wherein said means forproviding the user submitted information to the panel of selectedmedical professionals comprises the internet.
 62. The system of claim 51further comprising means for selecting a panel of medical professionalsfor participation in the medical consultation from the database based onthe qualifications of the medical professionals in the database.
 63. Thesystem of claim 51 wherein said database including information aboutpotential participating medical professions in addition to thequalifications of the medical professionals, further comprising meansfor selecting a panel of medical professionals for participation in themedical consultation based upon information in the database about themedical professionals in addition to the qualifications of the medicalprofessionals.
 64. The system of claim 51 further comprising softwarefor selecting a panel of medical professionals for participation in themedical consultation based upon the nature of the medical consultationand stored information in the database.
 65. The system of claim 51further comprising means for creating minimum defined criteria andsoftware for parsing the user submitted information against said minimumdefined criteria to determine if user submitted information meets saidminimum defined criteria.
 66. The system of claim 51 further comprisingmeans for displaying consensus information in real time as responsesfrom medical professionals in the selected panel are received by thesystem.
 67. The system of claim 51 further comprising means for creatinga graphical display of the consensus of the responses of the medicalprofessionals and for displaying same in real time.
 68. The system ofclaim 51 wherein said means for medical professionals in the selectedpanel to forward responses comprises surveys submitted to the system viathe internet.
 69. The system of claim 51 wherein professional(s)affiliated with the system periodically check for new user submissions.70. The system of claim 51 wherein the panel of medical professionals isselected from a group of physicians, nurses, chiropractors and/orpharmacists.
 71. An online system for providing online medicalconsultation services including quantitative and qualitative medicalopinions from a panel of selected medical professionals, the systemcomprising: (a) creating a database of potential participating medicalprofessionals, along with information about each the potentialparticipating medical professionals, including the qualifications of thepotential participating medical professionals; (b) means for a userseeking medical consultation services to access the system; (c) meansfor user to electronically submit information to the system regardingthe desired medical consultation services; (d) means for selecting apanel of medical professionals qualified to provide the desired medicalconsultation services based upon information in the database; (e) meansfor electronically providing question(s) based on the user submittedinformation, and the user submitted information, to the medicalprofessionals in the selected panel such that the medical professionalsin the selected panel formulate response(s) to provided question(s) andcomments regarding user submitted information; (f) means forelectronically forwarding the responses and comments from the medicalprofessionals in the selected panel to the system; (g) means forcalculating the degree of consensus of forwarded responses to questions;(h) means for displaying said calculated consensus on a system websiteaccessible to user; and (i) means for displaying said comments forwardedfrom the medical professionals on a system website accessible to theuser.
 72. The system of claim 71 wherein said means for user seekingmedical consultation services to accesses the system comprises theinternet.
 73. The system of claim 71 wherein said means for user seekingmedical consultation services to submit information regarding thedesired medical consultation services to system comprises the internet.74. The system of claim 71 further comprising a case submission form andmeans for providing said case submission form to the user seekingmedical consultation services.
 75. The system of claim 74 furthercomprising means for the user to submit said case submission form to thesystem.
 76. The system of claim 75 wherein said means for submittingsaid case submission form to the system comprises the internet.
 77. Thesystem of claim 71 further comprising means for determining when case isready for submission to selected panel of medical professionals.
 78. Thesystem of claim 71 further comprising means for selecting a panel ofmedical professionals for participation in the medical consultation fromsaid database based on the qualifications of the medical professionals.79. The system of claim 71 wherein said database includes informationabout the potential participating medical professionals in addition tothe qualifications of the medical professionals, further comprisingmeans for selecting a panel of medical professionals for participationin the medical consultation based upon information in said databaseabout the medical professionals in addition to the qualifications of themedical professionals.
 80. The system of claim 71 further comprisingsoftware for selecting a panel of medical professionals forparticipation in the medical consultation based upon the nature of themedical consultation and information about the medical professionals insaid database.
 81. The system of claim 71 further comprising means forcreating minimum defined criteria and means for parsing the usersubmitted information against the said minimum defined criteria todetermine if user submitted information meets minimum defined criteria.82. The system of claim 71 wherein said means for calculating the degreeof consensus calculates the degree of consensus in real time, asresponses from medical professionals in the selected panel are receivedby the system.
 83. The system of claim 71 further comprising a surveyand wherein medical professionals in the selected panel respond to thesystem using said survey.
 84. The system of claim 83 wherein said surveyis submitted to the system via the internet.
 85. The system of claim 71further comprising means for creating a graphical display of saidcalculated consensus of the responses from the medical professionals inthe selected panel.
 86. The system of claim 85 further comprising meansfor displaying said graphical display in real time.
 87. The system ofclaim 71 further wherein the system is periodically checked for new usersubmissions.
 88. The system of claim 71 further comprising means forselecting the panel of medical professionals from a group of physicians,nurses, chiropractors and/or pharmacists.